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Utilization of Infertility Treatments: The Effects of Insurance Mandates

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Over the last several decades, both delay of childbearing and fertility problems have become increasingly common among women in developed countries. At the same time, technological changes have made many more options available to individuals experiencing fertility problems. However, these technologies are expensive, and only 25% of health care plans in the United States cover infertility treatment. As a result of these high costs, legislation has been passed in 15 states that mandates insurance coverage of infertility treatment in private insurance plans. In this paper, we examine whether mandated insurance coverage for infertility treatment affects utilization for a specific subgroup in the population: older, highly educated women. These women are both at high risk for fertility problems, and have high rates of coverage by insurance plans affected by the mandates. We find robust evidence that while an effect of the mandates on utilization can not be found for the full population of women, the mandates do have a large and significant effect on utilization for exactly this subgroup.

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  • Marianne Bitler & Lucie Schmidt, 2008. "Utilization of Infertility Treatments: The Effects of Insurance Mandates," Department of Economics Working Papers 2008-05, Department of Economics, Williams College.
  • Handle: RePEc:wil:wileco:2008-05
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    1. Rajeev Dehejia & Adriana Lleras-Muney, 2004. "Booms, Busts, and Babies' Health," The Quarterly Journal of Economics, Oxford University Press, vol. 119(3), pages 1091-1130.
    2. M. Kate Bundorf & Melinda Henne & Laurence Baker, 2007. "Mandated Health Insurance Benefits and the Utilization and Outcomes of Infertility Treatments," NBER Working Papers 12820, National Bureau of Economic Research, Inc.
    3. Oyer, Paul, 2004. "Salary or Benefits?," Santa Cruz Department of Economics, Working Paper Series qt8xs3k3j8, Department of Economics, UC Santa Cruz.
    4. Timothy G. Conley & Christopher R. Taber, 2011. "Inference with "Difference in Differences" with a Small Number of Policy Changes," The Review of Economics and Statistics, MIT Press, vol. 93(1), pages 113-125, February.
    5. Bundorf, M. Kate & Chun, Natalie & Goda, Gopi Shah & Kessler, Daniel P., 2009. "Do markets respond to quality information? The case of fertility clinics," Journal of Health Economics, Elsevier, vol. 28(3), pages 718-727, May.
    6. Marianne P. Bitler & Christopher S. Carpenter, 2016. "Health Insurance Mandates, Mammography, and Breast Cancer Diagnoses," American Economic Journal: Economic Policy, American Economic Association, vol. 8(3), pages 39-68, August.
    7. Jane Menken, 1985. "Age and fertility: How late can you wait?," Demography, Springer;Population Association of America (PAA), vol. 22(4), pages 469-483, November.
    8. Schmidt, Lucie, 2007. "Effects of infertility insurance mandates on fertility," Journal of Health Economics, Elsevier, vol. 26(3), pages 431-446, May.
    9. Marianne Bitler & Madeline Zavodny, 2000. "The effect of Medicaid eligibility expansions on births," FRB Atlanta Working Paper 2000-4, Federal Reserve Bank of Atlanta.
    10. Marianne Bitler, 2005. "Effects of Increased Access to Infertility Treatment on Infant and Child Health Outcomes: Evidence from Health Insurance Mandates," PPIC Working Papers 2005.06, Public Policy Institute of California.
    11. Amalia Miller, 2011. "The effects of motherhood timing on career path," Journal of Population Economics, Springer;European Society for Population Economics, vol. 24(3), pages 1071-1100, July.
    12. repec:pri:cheawb:adriana_booms is not listed on IDEAS
    13. Marianne Bitler & Lucie Schmidt, 2006. "Health disparities and infertility: impacts of state-level insurance mandates," Department of Economics Working Papers 2006-04, Department of Economics, Williams College, revised Nov 2006.
    14. Zavodny, Madeline & Bitler, Marianne P., 2010. "The effect of Medicaid eligibility expansions on fertility," Social Science & Medicine, Elsevier, vol. 71(5), pages 918-924, September.
    15. Gruber, Jonathan, 1994. "State-mandated benefits and employer-provided health insurance," Journal of Public Economics, Elsevier, vol. 55(3), pages 433-464, November.
    16. Blackburn, McKinley L & Bloom, David E & Neumark, David, 1993. "Fertility Timing, Wages, and Human Capital," Journal of Population Economics, Springer;European Society for Population Economics, vol. 6(1), pages 1-30.
    17. Liu, Zhimei & Dow, William H. & Norton, Edward C., 2004. "Effect of drive-through delivery laws on postpartum length of stay and hospital charges," Journal of Health Economics, Elsevier, vol. 23(1), pages 129-155, January.
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    Cited by:

    1. Matilde Machado & Anna Sanz-de-Galdeano, 2015. "Coverage of infertility treatment and fertility outcomes," SERIEs: Journal of the Spanish Economic Association, Springer;Spanish Economic Association, vol. 6(4), pages 407-439, November.
    2. Karen Mulligan, 2015. "Contraception Use, Abortions, and Births: The Effect of Insurance Mandates," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1195-1217, August.
    3. Dills, Angela K. & Grecu, Anca M., 2017. "Effects of state contraceptive insurance mandates," Economics & Human Biology, Elsevier, vol. 24(C), pages 30-42.
    4. repec:bla:coecpo:v:36:y:2018:i:1:p:59-72 is not listed on IDEAS
    5. Machado, Matilde P. & Sanz-de-Galdeano, Anna, 2011. "Coverage of Infertility Treatment and Fertility Outcomes: Do Women Catch Up?," IZA Discussion Papers 5783, Institute for the Study of Labor (IZA).
    6. Andersen, Martin, 2015. "Heterogeneity and the effect of mental health parity mandates on the labor market," Journal of Health Economics, Elsevier, vol. 43(C), pages 74-84.
    7. repec:aea:aecrev:v:107:y:2017:i:6:p:1611-37 is not listed on IDEAS
    8. SANTAEULÀLIA-LLOPIS, Raül; IORIO, Daniela; GROES, Fane; LEUNG, Man Yee Mallory, 2017. "Educational disparities in the battle against infertility : evidence from IVF success," Economics Working Papers ECO2017/05, European University Institute.
    9. Joelle Abramowitz, 2014. "Turning back the ticking clock: the effect of increased affordability of assisted reproductive technology on women’s marriage timing," Journal of Population Economics, Springer;European Society for Population Economics, vol. 27(2), pages 603-633, April.
    10. Joelle Abramowitz, 2017. "Assisted Reproductive Technology and Women’s Timing of Marriage and Childbearing," Journal of Family and Economic Issues, Springer, vol. 38(1), pages 100-117, March.
    11. repec:spr:jopoec:v:30:y:2017:i:3:d:10.1007_s00148-016-0630-z is not listed on IDEAS
    12. Sarah Kroeger & Giulia La Mattina, 2015. "Assisted Reproductive Technology and Women’s Choice to Pursue Professional Careers," Working Papers 0115, University of South Florida, Department of Economics.
    13. Sarah Kroeger & Giulia La Mattina, 0. "Assisted reproductive technology and women’s choice to pursue professional careers," Journal of Population Economics, Springer;European Society for Population Economics, vol. 0, pages 1-47.

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    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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